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O70.3

Billable

Fourth degree perineal laceration during delivery

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The most severe perineal tear during childbirth, extending completely through all perineal tissues including the anal sphincter and rectal mucosa.

Coding Tips

  • •Fourth degree lacerations are the most severe and require immediate specialized surgical repair
  • •Distinguish from third degree by confirming rectal mucosa involvement is documented

Code Hierarchy

└O70Perineal laceration during delivery└O70.3Fourth degree perineal laceration during delivery
└O70.3Fourth degree perineal laceration during delivery

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